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单侧色素性静脉旁视网膜脉络膜萎缩与疑似眼结核相关

Unilateral Pigmented Paravenous Retinochoroidal Atrophy Associated With Presumed Ocular Tuberculosis.

作者信息

Fernandez-Sanz Guillermo, Carreño Ester, Mall Sonia, Neveu Magella M, Holder Graham E, Thomas Dhanes

出版信息

Ophthalmic Surg Lasers Imaging Retina. 2017 Apr 1;48(4):345-349. doi: 10.3928/23258160-20170329-10.

Abstract

This report describes a case of unilateral pigmented paravenous retinochoroidal atrophy (PPRCA) in a patient with low-grade unilateral intermediate uveitis. A 31-year-old woman, previously diagnosed with intermediate uveitis in the right eye (OD) presented to the clinic. Best-corrected visual acuity was 20/20 OD. Fundus examination, fluorescein angiography, autofluorescence, and optical coherence tomography OD were in keeping with a phenotypic diagnosis of PPRCA. Electrophysiology showed severe photoreceptor dysfunction of both the rod and the cone systems OD. Systemic workup revealed QuantiFERON-gold positive. This is the first report of unilateral PPRCA secondary to presumed ocular tuberculosis. [Ophthalmic Surg Lasers Imaging Retina. 2017;48:345-349.].

摘要

本报告描述了一例患有低度单侧中间葡萄膜炎的患者发生单侧色素性静脉旁视网膜脉络膜萎缩(PPRCA)的病例。一名31岁女性,之前被诊断为右眼(OD)中间葡萄膜炎,前来就诊。最佳矫正视力为OD 20/20。眼底检查、荧光素血管造影、自发荧光和OD的光学相干断层扫描均符合PPRCA的表型诊断。电生理学显示OD的视杆和视锥系统均存在严重的光感受器功能障碍。全身检查显示结核菌素试验阳性。这是首例推测由眼结核继发的单侧PPRCA报告。[《眼科手术、激光与视网膜成像》。2017年;48:345 - 349。]

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